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谁参与了WASH基础设施的"参与设计":一种混合方法的评估过程
Thea L Mink1, Allison P Salinger1, Naomi Francis2
1Hubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
PLOS global public health
|June 13, 2025
概括
社区参与水,环境卫生和卫生 (WASH) 项目至关重要. 虽然RISE实现了良好的覆盖范围,但在参与和影响方面发现了性别和社会不平等,需要对参与质量进行反思.
科学领域:
- 环境健康 环境健康
- 社区发展 社区发展
- 公共卫生干预 公共卫生干预
背景情况:
- 包容性参与对于像城市非正式定居点这样的复杂环境中的社区水,环境卫生和卫生 (WASH) 干预至关重要.
- 恢复非正式定居点及其环境 (RISE) 试验旨在通过参与方法共同设计WASH基础设施.
研究的目的:
- 评估参与水平,确定参与障碍,并评估参与者在RISE试验中的满意度.
- 分析参与和满意度的社会人口预测因素在WASH联合设计活动.
- 了解社区关于包容性和影响在WASH干预设计中的观点.
主要方法:
- 进行了混合方法,理论驱动的过程评估.
- 家庭调查捕获了自我报告的参与和对决策影响的满意度.
- 后勤回归模型评估了社会人口统计学预测因素;定性数据被主题分析.
主要成果:
- 观察到高参与率:马卡萨尔89%,苏瓦75%的参与率. 重要预测因素因地点而异 (例如,马卡萨尔的性别,年龄,婚姻状况;苏瓦的残疾,教育).
- 大多数参与者对他们的影响表示满意 (66%的马卡萨尔,70%的苏瓦). 在Suva,满意度预测因素包括性别,宗教和婚姻状况.
- 定性数据显示,人们对包容性设计的整体满意度很高,但也注意到社区代表的不信任和排斥.
结论:
- RISE参与式设计取得了良好的整体覆盖率和满意度,但强调了参与和影响的性别和社会不平等.
- 洗干预必须批判性地评估社区和地方组织参与的质量,以确保所有群体的纳入.
- 未来的干预措施应解决已确定的不平等问题,以加强真正包容的WASH联合设计流程.
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